Organization
ELLENS ENTERPRISE LLC
Active
Other names
ELLENS ENTERPRISE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN KESTECHER (OWNER)
(609) 209-4646
Entity
Organization
Contact information
Practice address
3277 SHADOW WOOD DR, GREENACRES, FL 33463-2439
(609) 209-4646
Mailing address
3277 SHADOW WOOD DR, GREENACRES, FL 33463-2439
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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